Journal Club & Ward Rounds

This morning we had journal club, which was presented by a resident (at least that is what my guess is at this point--the system here is different than the one in the US, i'll explain later).

The article presented was on the use of PPI's and their correlation with fractures in the elderly. The presentation was pretty similar to what we do in the US.

Afterwards we went to the acute care area to admit patients to the wards. The acute care area was filled with patients and even more waiting outside. There is no AC and mosquitos were buzzing around. They use glass vials for the normal saline which i had never seen before.

You can easily pick the nurses from the doctors as they are dressed in white saris with a blue stripe and a white hat pinned to their hair. The physicians for the most part are male and dress in slacks and khakis.

The nurses appear to do their own rounds from bed to bed.

The patients here were surprisingly diverse. There was a 22 y/o female who was 5months pregnant who has presented with sob and difficulty breathing. We found that she had a pleural effusion.

There was another patient who had just walked in with what we thought was a stroke, which was confirmed by head CT.

I have found that yes the resources here are limited to some degree but the patient care is very similar to that of the US in some respects.